Practice Restrictions

As from December 27, 2017, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Sarvsheel Arora, in
accordance with an undertaking and consent given by Dr. Arora to the College of
Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. SARVSHEEL ARORA
("Dr. Arora")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
A. PREAMBLE
(1) In this Undertaking:
"Code" means the Health Professions Procedural Code, which is Schedule 2
to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as
amended;
"ICR Committee" means the Inquiries, Complaints and Reports Committee of
the College.
"OHIP" means the Ontario Health Insurance Plan;
"Public Register" means the College's register that is available to the
public.
(2) I, Dr. Arora, certificate of registration number 90515, am a member of
the College.
(3) I, Dr. Arora, acknowledge that the College conducted an investigation
bearing File Number 7215013 (the "Investigation") into whether I failed
to maintain the standard of practice of the profession and/or am
incompetent in my family medicine practice, including the prescribing of
narcotics and controlled drugs.
B. UNDERTAKING
(4) I, Dr. Arora, undertake to abide by the provisions of this Undertaking
effective upon the date I sign it (the "Effective Date").
(5) Professional Education
(a) I, Dr. Arora, undertake to participate in and successfully complete
all elements of the detailed IEP, attached hereto as Schedule "A",
including but not limited to, the following elements of
professional education (the "Professional Education"):
(i) Within four (4) months of the Effective Date, review and
prepare a summary (2-4 pages each) of the following
resources:
1. College Policy "Prescribing Drugs":
http://www.cpso.on.ca/Policies-Publications/Policy/Prescribing-Drugs;
2. 2017 Canadian Guideline for Opioids for Chronic
Non-Cancer Pain:
http://nationalpaincentre.mcmaster.ca/guidelines.html;
3. Centre for Effective Practice Management of Chronic
Non-Cancer Pain Tool: https://thewellhealth.ca/cncp;
and
4. College Policy "Medical Records":
http://www.cpso.on.ca/Policies-Publications/Policy/Medical-Records.
(b) I, Dr. Arora, acknowledge that the College will determine, in its
sole discretion, whether I have successfully completed each element
of the Professional Education.
(6) Reassessment of Practice
(a) I, Dr. Arora, undertake that, approximately six (6) months after
completing all elements of the IEP, I will submit to a reassessment
of my practice by an assessor or assessors selected by the College
(the "Reassessment").
(b) I, Dr. Arora, acknowledge and agree that the Reassessment may
include a chart review, direct observation of my care, an interview
of me, interviews with colleagues and co-workers, feedback from
patients and any other tools deemed necessary by the College.
(c) I, Dr. Arora, undertake to co-operate fully with the Reassessment
conducted under the terms of this Undertaking.
(d) I, Dr. Arora, acknowledge that the results of the Reassessment will
be provided to me and reported to the College and that the
Reassessment may form the basis of further action by the College.
(7) Monitoring
(a) I, Dr. Arora, undertake to inform the College of each and every
location at which I practise or have privileges, including, but not
limited to, hospital(s), clinic(s) and office(s), in any
jurisdiction (collectively my "Practice Location(s)"), within ten
(10) business days of executing this Undertaking. Going forward, I
further undertake to inform the College of any and all new Practice
Locations within ten (10) business days of commencing practice at
that location.
(b) I, Dr. Arora, undertake and agree that I will submit to, and not
interfere with, unannounced inspections of my Practice Location(s)
and patient records by a College representative for the purposes of
monitoring my compliance with the provisions of this Undertaking.
(c) I, Dr. Arora, give my irrevocable consent to the College to make
appropriate enquiries of the Ontario Health Insurance Plan
("OHIP"), the Drug Program Services Branch, the Narcotics
Monitoring System ("NMS") implemented under the Narcotics Safety
and Awareness Act, 2010 and/or any person or institution who may
have relevant information, in order for the College to monitor my
compliance with the provisions of this Undertaking.
(d) I, Dr. Arora, acknowledge that I have executed the OHIP and NMS
consent form(s), attached hereto as Schedule "B" and Schedule "C",
respectively.
C. ACKNOWLEDGEMENT
(8) I, Dr. Arora, acknowledge that all schedules attached to or referred to
in this Undertaking form part of this Undertaking.
(9) I, Dr. Arora, acknowledge that I shall be solely responsible for payment
of all fees, costs, charges, expenses, etc. arising from the
implementation of any of the provisions of this Undertaking.
(10) I, Dr. Arora, acknowledge and confirm that I have read and understand the
provisions of this Undertaking and that I have obtained independent legal
counsel in reviewing and executing this Undertaking, or have waived my
right to do so.
(11) I, Dr. Arora, acknowledge that the College will provide this Undertaking
to any Chief of Staff, or a colleague with similar responsibilities, at
any Practice Location ("Chief(s) of Staff").
(12) I, Dr. Arora, acknowledge that a breach by me of any provision of this
Undertaking may constitute an act of professional misconduct and/or
incompetence, and may result in a referral of specified allegations to
the Discipline Committee of the College.
(13) I, Dr. Arora, acknowledge that this entire Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(14) Public Register
(a) I, Dr. Arora, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Arora, acknowledge that, in addition to this Undertaking
being posted in accordance with section (14)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
The College conducted an investigation into whether Dr. Arora
failed to maintain the standard of practice of the profession
and/or was incompetent in his family practice, including
prescribing of narcotics and controlled drugs. As a result of the
investigation, Dr. Arora has agreed to the following:
* Dr. Arora will engage in professional education in the
prescribing of narcotics and controlled drugs.
* Following the professional education, Dr. Arora's prescribing
of controlled substances, including narcotics, will be
re-assessed by an assessor selected by the College.
D. CONSENT
(15) I, Dr. Arora, give my irrevocable consent to the College to provide the
following information to any person who requires this information for the
purposes of facilitating my completion of the Professional Education and
to all Assessors:
(a) any information the College has that led to the circumstances of my
entering into this Undertaking;
(b) any information arising from any investigation into, or assessment
of, my practice; and
(c) any information arising from the monitoring of my compliance with
this Undertaking.
(16) I, Dr. Arora, give my irrevocable consent to the College to provide all
Chief(s) of Staff with any information the College has that led to the
circumstances of my entering into this Undertaking and/or any information
arising from the monitoring of my compliance with this Undertaking.
(17) I, Dr. Arora, give my irrevocable consent to any person who facilitates
my completion of the Professional Education, and to all Chiefs of Staff
and Assessors, to disclose to the College, and to one another, any
information:
(a) relevant to this Undertaking;
(b) relevant to the Reassessment;
(c) relevant for the purposes of monitoring my compliance with this
Undertaking; and/or
(d) which comes to his or her attention in the course of providing the
Professional Education and which he or she reasonably believes
indicates a potential risk of harm to my patients.

Concerns

Source: MemberActive Date: December 27, 2017Expiry Date: Summary: Summary of the Undertaking given by Dr. Sarvsheel Arora to the College of Physicians and Surgeons of Ontario, effective December 27, 2017:

The College conducted an investigation into whether Dr. Arora failed to maintain the standard of practice of the profession and/or was incompetent in his family practice, including prescribing of narcotics and controlled drugs. As a result of the investigation, Dr. Arora has agreed to the following:

-Dr. Arora will engage in professional education in the prescribing of narcotics and controlled drugs.

-Following the professional education, Dr. Arora’s prescribing of controlled substances, including narcotics, will be re-assessed by an assessor selected by the College.